HomeMy WebLinkAbout2018 Beth Howard OathDISTRICT COURT. EAGLE COUNTY, COI ORADO Court Address: 885 Chambers Avenue Eagle, CO 81631 Telephone: (970) 328-6373 Petitioner: SMITH CREEK METROPOLITAN DISTRIC'T A COURT USE ONLY Attorney for Petitioner: Name: William P. Ankele Address: WHITE BEAR ANKELE Case No: 94 CV 4237 TANAICA & WALDRON Professional Corporation Ctrm: 2154 E. Commons Ave., Suite 2000 Centennial, CO 80122 Phone Number: (303) 858-1800 Div: 1-1 Fax Number: (303) 858-1801 Email: wpanlccle cJwbapc.com Atty. Reg. 4: 12142 OATII OF OFFICE PURSUANT TO § 32-1-901, C.R.S. BETH HOWARI) SMITH CREEK METROPOLITAN DISTRICT STATE OF COLORADO ss. COUNTY OF EAGLE 1, Beth Howard, will faithfully support the Constitution of the United States and of the State of Colorado, and the taws made pursuant thereto, and will faithfully perform the duties of the office of Director of the Smith Creels Metropolitan District upon Which I am about to enter for an elected term ending May 2020. Signature Clerk & Res°rdar Eagle REtCE�vEp JUN 41W 9993 0011 539860-1 pM Subsc►•ibed and sworn to before me this day of .2018. By: Person authorized to administer oaths (County Cleric and Recorder, Cleric of the CoUrt, and any other person authorized to administer oaths or Chairman of the Board of Directors) IF SWORN OR AFFIRMED BEFORE A NOTARY THE FOLLOWING SHOULD BE COMPLETED. STATE OF COLORADO ) ) SS. COUNTY OF_) Subsc 'bed and sworn to before me this ICJ clay of zy2v 2018 by -- LYNNE A ROSSMAN Notary Public - State of Colorado E A Wary ID 19934003843 jMy Commission Expires Mar 29, 20 1 OJ i� �77 �r NV`ry"Public ` To be filed with the Clerk of the Court and Nt,ith the Division of Local Government within thirty (30) days alien the election (or being appointed). 9993 0011 589860-1 Colorado Special Districts Property and Liability Pool Comprehensive Crime Certificate Holder Declaration Master Coverage Policy Number: CCP0037259 Certificate Number: 31 C60730-1463 Named Member: Smith Creek Metropolitan District c/o Marchetti & Weaver, LLC 28 Second Street, Suite 213 Edwards, CO 81632- Covered ERISA Plan: Covered Designated Agent(s): Coverage Period: 1/1/2018 Until Cancelled Billing Period: 1/1/2018 to 111/2019 Broker of Record: Coverage Limits of Insurance and Deductibles Limits Public Employee Dishonesty Coverage: $5,000 - Limit is Per Loss - Faithful Performance of Duty - Officers, Directors, and Trustees - Welfare and Pension Plan ERISA Compliance if Covered Plan is shown on application - Volunteer Workers as Employees Forgery or Alteration Coverage: $5,000 Theft, Disappearance, and Destruction Coverage: Inside Premises $5,000 Outside Premises $5,000 Computer and Funds Transfer Fraud Coverage: $5,000 Debit, Credit or Charge Card Forgery Coverage: $5,000 Money Orders and Counterfeit Paper Currency Coverage: $5,000 Fraudulent Impersonation Coverage: $5,000 Crime Deductible: $100 Fraudulent Impersonation Deductible: 20% of Fraudulent Impersonation Limit Contribution: $133.31 Policy Forms: CR 00260506 Government Crime Policy CR 25070300 Include Specified Directors or Trustees on Committee as Employees CR 25080300 Include Specified Non -Compensated Officers as Employees CR 25090300 Include Volunteer Workers as Employees CR 25190506 Add Faithful Performance of Duty CR 25120300 Include Treasurers or Tax Collectors as Employees CR 02151104 Colorado Changes CR 25200300 Debit, Credit or Charge Card Forgery CR 25020506 Include Designated Agents as Employees, when listed CR 04171115 Fraudulent Impersonation This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member subject to all terms which are made a part of the Master Comprehensive Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Document for actual coverage, terms, conditions, and exclusions. Countersigned by: Friday, September 08, 2017 Entity ID#: 60730